Name
*
First Name
Last Name
Company Name
*
Type of Business
*
Please Select
Advertising/Marketing
Business Products and Services
Car Dealership
Computers and Technology
Retailer
Mfr of Consumer Products
Consumer Services
Entertainment/Recreation
Restaurant/Food Services
Home and Garden
Industrial Eqpt and Supplies
Real Estate
Insurance
Financial Services
Travel/Hospitality
Other
Phone
*
E-mail Address
*
Website
*
How did you hear about us?
*
Preferred Contact Method
*
Email
Phone
Either is fine
What would you like to trade to us for Advertising?
*
Please Select
Exchange Your Company's Products and Services for Advertising
Exchange Room Nights at Your Hotel or Resort for Advertising
Exchange Gift Cards or Gift Certificates to Your Restaurant for Advertising
Exchange Gift Cards or Gift Certificates to Your Retail Store or Online Store for Advertising
Exchange Restricted Stock in Your Public Company for Advertising
Exchange Stock in Your Pre-IPO Private Company for Advertising.
Exchange Under-Performing or Distressed Real Estate or other Assets for Advertising
Exchange your Excess or Surplus Inventory for Advertising
Exchange your Excess or Perishable Capacity for Advertising
Any additional comments regarding what you would like to trade to us for Advertising
Define Your Target Market and Audience
Define Your Target Geography
*
Local
Regional
National
International
Best Value
Other
Additional information about your target area(s)
*
i.e. specific cities, states, regions, countries, or other information
Who is your target market
*
Consumers
Business
To Be Determined
If you are trying to reach Consumers, gender is primarily:
Please Select
Male
Female
Both Male and Female
Don't Know
What age group(s) are you trying to target?
18-24
25-34
35-44
45-54
55-64
65+
Don't know at this time
If you're trying to reach Consumers, median household income is:
$0-$25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $250,000
More than $250,000
Don't know at this time
If you are trying to reach Businesses - please describe the types of Businesses and Industries you are trying to reach:
What are the annual sales of the Businesses you are trying to reach? (check all that apply)
$0 - $100,000
$100,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
$5,000,000 - $10,000,000
over $10,000,000
Don't know at this time
What are your primary reasons for advertising at this time?
*
Awareness & Branding
Lead Generation to support Sales people
Direct Response
CampaignEvent
Special Sale
Other
Additional information/comments about your advertising objectives
Do you currently have an ad agency of record agreement?
*
Yes
No
Is Your Creative / Ad Copy / Commercial Ready?
*
Yes
No
Partially
What types of advertising are you interested in at this time
*
Television
Radio
Internet
Magazines
Newspapers
Outdoor
Transit
Ad Specialty (custom logo items, premiums/promotions)
Sponsorships or Product Placements
Additional Comments about Media Formats
*
How much cash did you spend on advertising last year?
*
How much in barter did you spend on advertising last year?
*
What is your current cash media budget?
*
What is your current barter media budget?
*
Over How Many weeks?
*
When would you like to start your campaign ?
*
Please tell us what types of advertising have worked for you in the past?
*
Please tell us what types of advertising have not worked for you in the past?
*
Any additional comments or information you would like to add
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You may upload document(s) you wish us to review
Upload a File
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